Provider Demographics
NPI:1427388826
Name:HANNUKAINE, DENISE LOUISE MAXWELL (RDN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:LOUISE MAXWELL
Last Name:HANNUKAINE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 CAPITOL VIEW LN SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-8546
Mailing Address - Country:US
Mailing Address - Phone:425-861-6258
Mailing Address - Fax:
Practice Address - Street 1:9800 CAPITOL VIEW LN SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98512-8546
Practice Address - Country:US
Practice Address - Phone:425-503-1969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60068772133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered